Prescription Drug Benefits
When you enroll in one of the Aetna medical plan options, you’ll automatically have prescription drug coverage through Aetna and Express Scripts. This program includes a Formulary Management Program that uses a “four-tier” copayment approach to covered drugs and is designed to control cost for you and the plan.
- Tier 1 includes primarily generic drugs (smallest copayment)
- Tier 2 includes formulary drugs (middle copayment)
- Tier 3 includes brand formulary drugs (highest copayment)
- Tier 4 includes specialty drugs
Aetna RX Home Delivery
Aetna offers a home delivery service for drugs used to treat long-term conditions like high blood pressure or diabetes. You can get up to a 90-day supply of medicine by mail.
Aetna Specialty Pharmacy
Aetna Specialty Pharmacy® medicine and support services is a mail-order pharmacy that dispenses specialty drugs. These drugs treat chronic conditions, such as multiple sclerosis, rheumatoid arthritis, and cancer.
- Mail delivery to your home, doctor’s office, or anywhere you choose
- Safe handling, secure packaging, and quick delivery, plus free standard shipping
- Tips and training on how to self-administer injectable drugs, and cope with possible side effects
- Ongoing support from a team of specialists to help you stick with your care plan